Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $363.08	Facility		$120.23	$208.93	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $194.98	Professional		$91.20	$107.15	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $416.87 / $1,513.56	Facility		$147.91	$416.87	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $93.33	Professional		$83.18	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $251.19 / $549.54	Facility		$77.62	$251.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $147.91 / $204.17	Professional		$58.88	$147.91	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $512.86	Professional		$131.83	$208.93	$512.86
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $239.88	Facility		$120.23	$120.23	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $120.23	Professional		$50.12	$72.44	$120.23